CAJ | 학술논문

目的为胃肠道恶性肿瘤的临床流行病学等研究提供基本资料.方法对1998年1月至2007年12月间黑龙江省15家医院收治的胃肠道恶性肿瘤病例资料进行回顾性分析.结果具有完整的胃癌和结直肠癌病例资料者共计33 540例,来自其中12家医院.胃癌占45.8%,直肠癌与结肠癌例数相近.右半结肠癌多于左半结肠癌为1.3:1.0,尤其80岁以上年龄组其比例为2.1:1.0.30岁以下结直肠癌例数仅占全部结直肠癌的1.3%.50～70岁者在进展期胃癌、结肠癌和直肠癌患者中分别占70.6%、73.4%和72.4%.早期胃癌中的高、中分化腺癌占49.7%;结直肠癌中的高-中分化腺癌占74.4%～85.1%.早期胃癌予以根治性手术切除者占69.1%;进展期胃癌占79.9%;左半结肠癌占91.9%;右半结肠癌占83.9%;直肠癌占88.3%.结论黑龙江省胃肠道恶性肿瘤发病的高峰年龄段是50～70岁;以胃癌最常见;根治性手术切除是主要治疗方式.
목적 위위장도악성종류적림상류행병학등연구제공기본자료.방법 대1998년1월지2007년12월간흑룡강성15가의원수치적위장도악성종류병례자료진행회고성분석.결과 구유완정적위암화결직장암병례자료자공계33 540례,래자기중12가의원.위암점45.8%,직장암여결장암례수상근.우반결장암다우좌반결장암위1.3:1.0,우기80세이상년령조기비례위2.1:1.0.30세이하결직장암례수부점전부결직장암적1.3%.50～70세자재진전기위암、결장암화직장암환자중분별점70.6%、73.4%화72.4%.조기위암중적고、중분화선암점49.7%;결직장암중적고-중분화선암점74.4%～85.1%.조기위암여이근치성수술절제자점69.1%;진전기위암점79.9%;좌반결장암점91.9%;우반결장암점83.9%;직장암점88.3%.결론 흑룡강성위장도악성종류발병적고봉년령단시50～70세;이위암최상견;근치성수술절제시주요치료방식.
Objective To provide basic information for epidemiological research of gastrointestinal (GI) malignant tumors. Methods Data of GI cancer diagnosed in 15 hospitals of Heilongjiang province between January 1998 and December 2007 were analyzed retrospectively. The data mainly involved the age of onset, initial symptoms, pathological types, clinical staging and types of surgical procedure. Results Gastric cancer was the most common type(45.8%) among the 33 540 GI cancer cases, then were rectal cancer (27.3%) and colon cancer(26.8%). Right colon cancer cases were more common than the left ones (1.3:1.0), particularly in people over 80 (2.1:1.0). Only 1.3% of colorectal cancer could be found in age under 30 years old. In patients aged 50 to 70, advanced gastric cancer accounted for 70.6%, advanced colon cancer 73.4% and advanced rectal cancer 72.4%. Well-moderately differentiated adenocareinoma in early gastric cancer was 49.7%, early colon cancer 77.3% and rectal cancer 83.2%. Patients undergone radical excision in early gastric cancer accounted for 69.1%, advanced gastric cancer 79.9%, left colon cancer 91.9%, right colon cancer 83.9% and in rectal cancer for 88.3%. Conclusions People aged 50 to 70 tend to get GI cancer in Heilongjiang province. Gastric cancer is the most common GI cancer. Radical excision is the main choice of therapy.